Individual provider Active NPI

Elise M Lindquist, MS-SLP

  • Speech-Language Pathologist
  • Altoona, PA
National Provider Identifier
1356696611
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1213 Issued in ND
Practice address
201 Chestnut Ave
Altoona, PA 16601-4927
Phone
(814) 946-5411
Fax
(814) 940-8471
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1213 ND Primary

Addresses

Primary practice location

201 Chestnut Ave
Altoona, PA 16601-4927

Mailing address

201 Chestnut Ave
Altoona, PA 16601-4927
Phone (814) 946-5411

Other identifiers 2

IdentifierTypeStateIssuer
56049MedicaidND
1032525050001MedicaidPA

Other names 1

  • Elise Ventura Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCEarlyInterventionTherapy@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1213NDMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1356696611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014927",
            "telephone_number": "814-946-5411",
            "fax_number": "814-940-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014927",
            "telephone_number": "814-946-5411",
            "fax_number": "814-940-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDQUIST",
        "first_name": "ELISE",
        "middle_name": "M",
        "credential": "MS-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56049",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032525050001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCEarlyInterventionTherapy@upmcdirect.com",
            "affiliation": "N",
            "address_1": "201 Chestnut Ave",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166014927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "VENTURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.